A nurse is assessing a 49-year-old homeless male client. The nurse fashions the assessment process based on the understanding that the client would most likely demonstrate which of the following?

Correct Answer: D

Rationale: The correct answer is D. Homeless individuals often display resistance and caution due to past negative experiences or mistrust of authority figures. This behavior is a defense mechanism to protect themselves. A nurse should approach with empathy, patience, and non-judgmental attitude to build trust gradually. Choices A, B, and C are incorrect as they assume the client will be cooperative, talkative, or willing to engage in discussions, which may not be the case for a homeless individual who may have faced trauma or discrimination. It is essential for the nurse to acknowledge the client's feelings and validate their concerns before proceeding with the assessment.

Correct Answer: C

Rationale: Step 1: Identify Peplau's contribution - Peplau is known for her Interpersonal Theory, which emphasizes the therapeutic nurse-patient relationship. Step 2: Compare with Freud - Just like Freud is associated with psychoanalytic theory, which focuses on the unconscious mind and childhood experiences, Peplau's Interpersonal Theory focuses on the interpersonal relationships in nursing. Step 3: Eliminate other choices - A (Psychosocial theory) is more closely associated with Erikson, B (Nursing theory) is too broad, and D (Object relations theory) is more aligned with Melanie Klein. Step 4: Conclusion - The correct answer is C (Interpersonal theory) because Peplau's work focuses on the interpersonal relationships within the nursing context, similar to how Freud focused on psychoanalytic theory.

Correct Answer: A

Rationale: The correct answer is A: Implement suicide precautions. This is the highest priority intervention because the patient has a plan for suicide, which poses an immediate risk to their safety. Implementing suicide precautions involves ensuring the patient's safety by removing any potential means of self-harm, closely monitoring their behavior, and providing constant supervision to prevent any suicide attempts. Choice B is incorrect because offering high-calorie snacks and fluids frequently does not address the immediate risk of suicide. Choice C is incorrect because assisting the patient to identify personal strengths is important for building self-esteem but is not the highest priority when the patient is at risk of suicide. Choice D is incorrect because observing the patient for therapeutic effects of antidepressant medication is important but ensuring the patient's safety takes precedence when there is a risk of suicide.

Correct Answer: C

Rationale: The correct answer is C: Advocacy. The nurses have advocated for the care of persons diagnosed with mental illness by writing letters to their elected representatives in opposition to the legislation that reduces funding for mental health care. Advocacy involves actively supporting a cause or policy to influence decision-makers for the betterment of a specific group or issue. In this scenario, the nurses have demonstrated advocacy by speaking out on behalf of individuals with mental illness to protect their access to necessary care and support. Choices A, B, and D are incorrect because they do not accurately describe the nurses' actions in this context.

Correct Answer: C

Rationale: The correct answer is C: Hypothyroidism. Hypothyroidism is a common trigger for major depressive disorder due to its impact on hormone levels, particularly thyroid hormones that regulate mood. When thyroid levels are imbalanced, it can lead to symptoms of depression. Pain (choice A), hypertension (choice B), and Crohn's disease (choice D) can also contribute to depression but are not as directly linked to triggering major depressive disorder compared to hypothyroidism.